MINUTECLINIC DIAGNOSTIC OF FLORIDA LLC NPI 1073780730

NPI Information

NPI: 1073780730
Provider Name: MINUTECLINIC DIAGNOSTIC OF FLORIDA LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 41D2074147

Address:
12280 LAKE UNDERHILL RD
ORLANDO, FL
ZIP 32825
Phone: (401) 866-2727
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MINUTECLINIC DIAGNOSTIC OF FLORIDA LLC is a family nurse practitioner in Orlando, FL. MINUTECLINIC DIAGNOSTIC OF FLORIDA LLC NPI is 1073780730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12280 LAKE UNDERHILL RD
ORLANDO, FL
ZIP 32825-009
Phone: (401) 866-2727

The provider's authorized official is Deborah Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The CLIA number assigned to this NPI record is 41D2074147 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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